垂体腺瘤呈现为孤立的眼运动神经麻
Jun Masuoka1, Fumitaka Yoshioka1, Kohei Inoue1
1Department of Neurosurgery, Saga University, Saga, Japan.
Surgical neurology international
|October 9, 2023
概括
孤立的眼运动神经麻可能是小垂体腺瘤的早期迹象,而没有脑卒中或洞穴性鼻入侵. 基于成像的及时手术干预对于保护神经功能至关重要.
科学领域:
- 神经瘤学神经瘤学
- 内分泌学 在内分泌学.
- 眼科医生 眼科 眼科
背景情况:
- 隔离眼运动神经麻是一种罕见的垂体腺瘤表现.
- 通常情况下,这种情况发生在垂体脑卒中或洞穴性鼻侵袭时.
研究的目的:
- 报告异常情况下的垂体腺瘤呈现为孤立的眼运动神经麻.
- 突出诊断和治疗方面的影响.
主要方法:
- 两名患有小垂体腺瘤的患者的病例报告.
- 使用磁共振成像 (MRI) 和计算机断层扫描 (CT) 进行诊断.
- 雇佣了用于瘤切除的内镜透形手术.
主要成果:
- 两个小的垂体腺瘤没有脑卒中或洞穴性鼻入侵导致了孤立的眼运动神经麻.
- 放射学发现包括后后瘤扩展和后侧状过程侵蚀.
- 内镜手术导致了瘤的完全切除和眼动功能的完全恢复.
结论:
- 孤立的眼运动神经麻需要考虑小垂体腺瘤,即使没有典型的并发症.
- 典型的放射学发现可以指导早期手术干预.
- 及时进行手术对于成功保存眼运动功能至关重要.
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